NUR 436 Final Exam Questions With
Correct Answers
Pediatric vital signs - CORRECT ANSWER✔✔-Infant: 100-180, 75-160, 30-60, <70
Toddler: 100-150, 65-150, 24-40, <70 +2A
Preschool: 60-150, 60-90, 22-34, <70 + 2A
School-age: 60-110, 60-90, 18-30, <70 +2A
Pre-teen: 50-110, 50-90, 12-16, <90
Rule of nines for adults - CORRECT ANSWER✔✔-Head: 9%
Chest front and back: 36%
Arms: 9% ea.
Legs: 18% ea.
Groin: 1%
Rule of nines for children - CORRECT ANSWER✔✔-Head: 18%
Chest front and back: 36%
Arms: 9% ea.
Legs: 14% ea.
What is crepitus (chest tubes)? - CORRECT ANSWER✔✔-Bubbling/crackling felt near chest tube
insertion site
,What would NOT be a good sign in a chest tube container? - CORRECT ANSWER✔✔-Continuous
bubbling
What is a pneumothorax? - CORRECT ANSWER✔✔-Air leaking into the space between the lungs
and chest wall
What is a hemothorax? - CORRECT ANSWER✔✔-Blood leaking into the space between the lungs
and the chest wall
What is the role of the nurse in preparing for blood transfusions? - CORRECT ANSWER✔✔-Know
what is ordered
Labs
Consent
Know how to administer
Know transfusion reactions
What does a type and screen investigate? - CORRECT ANSWER✔✔-Patient blood type and RH
antigens
How long are type and screen results good for? - CORRECT ANSWER✔✔-72 hours
What reduces the possibility of a blood transfusion reaction? - CORRECT ANSWER✔✔-Type and
screen
What does a type and crossmatch ensure and how? - CORRECT ANSWER✔✔-Compatibility by
mixing patient serum with donor RH
What kind of blood products will be cross-matched? - CORRECT ANSWER✔✔-Those containing
RBCs
, Supplies needed for a blood draw - CORRECT ANSWER✔✔-Lab tubes
Labels
Clean gloves
Alcohol
Vacutainer
Saline
5ml syringes
Tourniquet
Steps for a PIV lab draw - CORRECT ANSWER✔✔-Stop IVF / disconnect tubing
Apply tourniquet
Clean IV site
Flush with saline
Clean IV site
Connect 5 ml syringe
Pull back 3ml
Clean IV site
Connect new 5 ml syringe
Pull back 1 ml
Remove tourniquet
Flush site with saline
Why should you fill the blood filter with saline first? - CORRECT ANSWER✔✔-So as not to lyse
blood cells
Correct Answers
Pediatric vital signs - CORRECT ANSWER✔✔-Infant: 100-180, 75-160, 30-60, <70
Toddler: 100-150, 65-150, 24-40, <70 +2A
Preschool: 60-150, 60-90, 22-34, <70 + 2A
School-age: 60-110, 60-90, 18-30, <70 +2A
Pre-teen: 50-110, 50-90, 12-16, <90
Rule of nines for adults - CORRECT ANSWER✔✔-Head: 9%
Chest front and back: 36%
Arms: 9% ea.
Legs: 18% ea.
Groin: 1%
Rule of nines for children - CORRECT ANSWER✔✔-Head: 18%
Chest front and back: 36%
Arms: 9% ea.
Legs: 14% ea.
What is crepitus (chest tubes)? - CORRECT ANSWER✔✔-Bubbling/crackling felt near chest tube
insertion site
,What would NOT be a good sign in a chest tube container? - CORRECT ANSWER✔✔-Continuous
bubbling
What is a pneumothorax? - CORRECT ANSWER✔✔-Air leaking into the space between the lungs
and chest wall
What is a hemothorax? - CORRECT ANSWER✔✔-Blood leaking into the space between the lungs
and the chest wall
What is the role of the nurse in preparing for blood transfusions? - CORRECT ANSWER✔✔-Know
what is ordered
Labs
Consent
Know how to administer
Know transfusion reactions
What does a type and screen investigate? - CORRECT ANSWER✔✔-Patient blood type and RH
antigens
How long are type and screen results good for? - CORRECT ANSWER✔✔-72 hours
What reduces the possibility of a blood transfusion reaction? - CORRECT ANSWER✔✔-Type and
screen
What does a type and crossmatch ensure and how? - CORRECT ANSWER✔✔-Compatibility by
mixing patient serum with donor RH
What kind of blood products will be cross-matched? - CORRECT ANSWER✔✔-Those containing
RBCs
, Supplies needed for a blood draw - CORRECT ANSWER✔✔-Lab tubes
Labels
Clean gloves
Alcohol
Vacutainer
Saline
5ml syringes
Tourniquet
Steps for a PIV lab draw - CORRECT ANSWER✔✔-Stop IVF / disconnect tubing
Apply tourniquet
Clean IV site
Flush with saline
Clean IV site
Connect 5 ml syringe
Pull back 3ml
Clean IV site
Connect new 5 ml syringe
Pull back 1 ml
Remove tourniquet
Flush site with saline
Why should you fill the blood filter with saline first? - CORRECT ANSWER✔✔-So as not to lyse
blood cells
